DR. KENNETH MICHAEL STAAB DO
NPI 1457280091
Student in an Organized Health Care Education/Training Program in Allentown, PA
About Dr. Kenneth Michael Staab Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH MICHAEL STAAB DO (NPI 1457280091) is an individual student in an organized health care education/training program in Allentown, Pennsylvania, licensed in Pennsylvania (OT025452) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kenneth Michael Staab Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALLENTOWN, PA 18101
ALLENTOWN, PA 18101
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Staab's NPI number?
The NPI number for Kenneth Staab is 1457280091. It was assigned to this individual provider in the NPPES registry on May 19, 2026.
Where is Kenneth Staab located?
Kenneth Staab practices at 707 Hamilton St, Allentown, PA 18101. The listed phone number is (917) 843-0403.
What is Kenneth Staab's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kenneth Staab enrolled in Medicare?
Yes. Kenneth Staab is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenneth Staab was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
